This is editorial letter number 12, which I submit to you as your Editor-in-Chief of International Surgery.

In my last editorial letter, I indicated that it is always wise to occasionally pause and “take stock” in terms of what we are doing and where we are headed. In so doing, we take the time to gain fresh perspectives and to capitalize on every emerging opportunity in medical and surgical publishing, all with the goal of better serving humanity, via global cooperation and collaboration.

Having taken pause, in this letter, I indicate that we are increasing the frequency of